Individual
DR. GLENN GEOFFREY PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 1ST AVE E, ABBEN CANCER CENTER, SPENCER, IA 51301-4330
(712) 264-6550
(712) 264-6553
Mailing address
1200 1ST AVE E, ABBEN CANCER CENTER, SPENCER, IA 51301-4330
(712) 264-6550
(712) 264-6553
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
40571
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181115001
—
TX
01
—
7129775
AETNA HMO
TX
01
—
8S2183
BLUECROSS/BLUESHIELD TX.
TX
01
—
P000321077
RAILROAD MEDICARE
TX
Enumeration date
01/27/2006
Last updated
04/19/2013
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